Individual
ADAM B. GREENBAUM
Active
Individual
ADAM B. GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
059304
MI
207RC0000X
Cardiovascular Disease Physician
059304
MI
207RC0000X
Cardiovascular Disease Physician
080063
GA
207RI0011X
Interventional Cardiology Physician
Primary
080063
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060H264410
BLUE CROSS-BLUE CROSS
—
05
—
410065910
—
MI
01
—
AG059304
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
08/22/2018
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